Provider Relations Manager

Welcome to Molina Healthcare! We are a leading provider of managed healthcare services, dedicated to improving the health and well-being of our members. As a Provider Relations Manager, you will play a crucial role in maintaining and developing relationships with our network of healthcare providers. We are seeking a highly motivated and experienced individual who is passionate about building strong partnerships and ensuring quality healthcare for our members. If you are a results-driven, collaborative team player with excellent communication skills, we want you to join our team!

1. Develop and maintain relationships with healthcare providers in the Molina Healthcare network.
2. Serve as the main point of contact for providers, addressing any questions or concerns they may have.
3. Collaborate with various departments within Molina Healthcare to ensure providers are meeting our members' needs and expectations.
4. Routinely assess provider performance and make recommendations for improvement.
5. Negotiate contracts and rates with providers to ensure cost-effective and quality healthcare services for our members.
6. Stay up-to-date on industry trends and changes in healthcare regulations to effectively communicate updates to providers.
7. Develop and implement strategies to expand the provider network and attract new providers.
8. Conduct regular provider trainings and presentations to promote understanding of Molina Healthcare's policies and procedures.
9. Monitor and analyze provider feedback and utilization data to identify areas for improvement.
10. Collaborate with cross-functional teams to resolve any provider-related issues or concerns.
11. Ensure compliance with all state and federal regulations related to provider relations.
12. Maintain accurate and up-to-date records of all provider interactions and communications.
13. Participate in meetings and conferences to represent Molina Healthcare and promote our mission and values.
14. Foster a positive and collaborative work environment within the provider relations team.
15. Continuously evaluate and improve processes and procedures to enhance the efficiency and effectiveness of provider relations.

According to JobzMall, the average salary range for a Provider Relations Manager in Naperville, IL, USA is between $70,000 and $90,000 per year. This may vary depending on factors such as experience, education, and specific job responsibilities.

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.